Blanchard emphasizes that in the entire diagnostic history of gender dysphoria—dating back to the 1910s—there is no record of genuine transsexualism or well-established syndromes of gender dysphoria ever passing from one person to another. “People developed gender dysphoria in isolation from models.” They didn’t need prompting from a friend, a school assembly, or a YouTube influencer to realize their dysphoria; it simply was.

